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dc.contributor.advisorBarnes, Linda L.en_US
dc.contributor.advisorLaird, Lance D.en_US
dc.contributor.authorHyman, Jason Matthewen_US
dc.date.accessioned2021-11-23T18:11:14Z
dc.date.available2021-11-23T18:11:14Z
dc.date.issued2021
dc.identifier.urihttps://hdl.handle.net/2144/43399
dc.description.abstractThe aim of this thesis is to argue what it means to embody clinical competence for treating im/migrant patients. Im/migrants are a distinct yet heterogeneous patient population. They come to the U.S. for a variety of reasons, with a great diversity of backgrounds, upbringings, experiences, and ways of life. Considering the structural violence and push and pull factors directly connected to reasons for im/migration and experiences of distress upon settlement in the U.S., the central framework of this thesis is im/migration as a structural determinant of health. The operations of social structures, through policy, law enforcement, and discriminatory belief systems, make im/migrants structurally vulnerable. When healthcare providers treat im/migrant patients from a structurally informed approach to care, the context of these patients’ needs become more apparent and likelihood of positive health outcomes increases. Central to this structural approach, as I explain, is understanding how to best communicate with, gain the trust of, and provide effective social interventions for im/migrant patients relative to the operations of violent social structures. Im/migrant status truly is a determinant of health in its own right, and accordingly, care for im/migrant patients is also a specialized clinical realm with specific skills and competencies. As I argue, healthcare providers can only attain—embody—the competence for treating im/migrants through an awareness of how social structures affect these patients’ lives and modifies the delivery of care.en_US
dc.language.isoen_US
dc.rightsAttribution 4.0 Internationalen_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCultural anthropologyen_US
dc.subjectImmigrationen_US
dc.subjectRefugeeen_US
dc.subjectSocial determinant of healthen_US
dc.subjectStructural competenceen_US
dc.subjectStructural determinant of healthen_US
dc.subjectStructural vulnerabilityen_US
dc.titleImmigration as a structural determinant of health: embodying clinical competence for treating im/migrant patientsen_US
dc.typeThesis/Dissertationen_US
dc.date.updated2021-11-18T23:02:59Z
etd.degree.nameMaster of Scienceen_US
etd.degree.levelmastersen_US
etd.degree.disciplineMedical Anthropology and Cross-Cultural Practiceen_US
etd.degree.grantorBoston Universityen_US


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Attribution 4.0 International
Except where otherwise noted, this item's license is described as Attribution 4.0 International